Cervical spondylotic myelopathy generally advocates surgical treatment, especially the best operation with JOA score (17) less than 1 1, and those with a score greater than1~13 can be observed for a certain period of time.
The earlier the operation time, the lighter the symptoms and the better the effect. Clinically, it is generally said that the operation effect is good within half a year, and it is best not to exceed two years. Paralyzed in bed or unable to walk independently, hand numbness deformation is generally poor.
Anterior cervical surgery generally chooses to compress less than 3 segments, while posterior cervical surgery chooses to compress more than 3 segments, especially developmental spinal stenosis. Sometimes the situation is complicated. In order to completely and safely decompress nerves, decompression can be carried out simultaneously or in stages.
If it goes well, most patients can get out of bed and walk 2~3 days after operation, and they can take care of themselves after observation for 2~3 days. It takes 3~6 months for bone healing after cervical surgery, but you can work in the office in 3~4 weeks because of decompression and internal fixation. 3~4 can engage in general work.
(Dr. Chen Gang solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )
Jiangsu Provincial Hospital of Traditional Chinese Medicine Chen Gang/